Individual
SARA LIGHT BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1720 18TH AVE, LEWISTON, ID 83501-4047
(208) 746-4097
(208) 746-2294
Mailing address
1720 18TH AVE, LEWISTON, ID 83501-4047
(208) 746-4097
(208) 746-2294
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10073
ID
101YP2500X
Professional Counselor
Primary
LCPC-5714
ID
Other
Enumeration date
06/28/2013
Last updated
01/02/2026
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